250
22K
785K
4.3 %
22.3 %
16.1 %
55.4 %
We plotted offer/acceptance ratios (O/A) over time at all centers, organized by the 11 OPTN regions. This data was not available prior to 2017. The offer/acceptance ratio is calculated based on offer/acceptance ratios for all centers in the country. A value > 1 indicates that a center is more likely to accept an organ compared to other centers in the country. Transplant centers missing O/A information were excluded from the plots below. Generally speaking, O/A ratios have remained stable over time across regions, although the large amount of data makes it difficult to compare in this context.
For NY specific transplant centers, we can see that only 4 transplant centers had O/As < 1. NYU Medical Center (NYUCTX1) had a large increase in its O/A in the last year, while SUNY Upstate (NYUMTX1) has had a gradual decline in its O/A since 2017.
Demographics of 2021 Waitlist Patients and Transplant Recipients in NY. Some key demographics differed between patient populations in NY. Below are proportions of patients stratified by age groups, primary disease causing end-stage renal disease, and gender, race & ethnicity. Living donor recipients tended to be younger, more likely to be white, and less likely to have diabetes as the cause of their ESRD compared to people on the waitlist or deceased donor recipients. Excluding children’s hospitals, the majority of primary disease leading to end-stage renal disease was diabetes. In NY, the majority of transplant recipients and patients on the waitlist were male.
The median time to transplant for patients on NY transplant center kidney wait lists has generally decreased since 2017, although this is not consistent across all centers.
When looked at as a whole over time, we might infer that since 2019, the transplant rate has increased with decreasing O/As over time, indicated by the relatively increasing slope of a best-fit line across centers. However, this inference is not well supported– this method is very sensitive to outliers given the small sample size.